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General NPI Number Information
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NPI Number | 1336323096
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Entity Type | Organization
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Legal Business Name | SLOSSBERG FAMILY CHIROPRACTIC CENTER INC
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Dates
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Enumeration Date | 12/18/2007
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Last Update Date | 10/14/2011
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Provider Practice Location Address
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Address Line | 4640 HYPOLUXO ROAD SUITE 2
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City | LAKE WORTH
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State | FL
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Zip | 33463-7534
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Country | US
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Telephone | 561-296-1715
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Fax | 561-296-1716
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Provider Business Mailing Address
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Address Line | 4640 HYPOLUXO ROAD SUITE 2
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City | LAKE WORTH
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State | FL
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Zip | 33463-7534
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Country | US
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Telephone | 561-296-1715
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Fax | 561-296-1716
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Authorized Official
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Title or Position | PRESIDENT/DOCTOR
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Name | MR. DAVID SLOSSBERG
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Credential | D.C.
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Telephone | 561-296-1715
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH8521
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License Number State | FL
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